Caroline Anne Zidell, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146017575 Issued in IL

Practice address

1301 W Cossitt Ave
La Grange, IL 60525-2145

Phone

(708) 354-5730

NPI assigned

Apr 1, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lagrange Area Dept Spec Ed

  • Local Education Agency (LEA)
  • La Grange, IL
  • NPI 1023401817
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1831940352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 HOLMES AVE",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141418",
            "telephone_number": "817-875-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W COSSITT AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252145",
            "telephone_number": "708-354-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIDELL",
        "first_name": "CAROLINE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146017575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed Zaki, M.D.
• John S. Zanoni, D.D.S.
• Sofia Josefine Zarnowiecki
• Elizabeth Zawila, RD, LDN
• Ling Zhou
• Shannon Zimmer
• James Christian Zotti, LAC

• Speech-Language Pathologist in La Grange, IL
• Providers in La Grange, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.